PDF(Pubmed)
Abstract：
OBJECTIVE: Pleural empyema (PE) is a collection of purulent material in the pleural space. PE\'s management in children is a challenge and an inappropriate diagnostic-therapeutic work up can lead to serious short and long-term complications. The aim of this study is to define the correct timing to approach a pediatric PE by video-assisted thoracoscopic surgery (VATS).
METHODS: A retrospective observational study was conducted including pediatric patients who underwent video-assisted thoracoscopy for pleural empyema between May 2005 and September 2022.
RESULTS: 62 patients were subjected to VATS for PE (32 in Group Early VATS, 30 in Group Late VATS). It emerged that the elapsed period between the onset of symptoms and surgery correlates in a statistically significant way with the post-operative stay in intensive care (z score 4.3 and p value < 0.0001) and the analysis between early VATS, late VATS and postoperative hospitalization showed a statistically significant reduction of the post-operative hospitalization in the early VATS groups (p value < 0.02).
CONCLUSIONS: VATS resulted to be safe and effective for the treatment of PE in children, and an early minimally invasive thoracoscopic intervention (early VATS) correlates with better outcomes, specifically in terms of intensive care hospitalization and overall hospitalization.
METHODS: A retrospective observational study was conducted including pediatric patients who underwent video-assisted thoracoscopy for pleural empyema between May 2005 and September 2022.
RESULTS: 62 patients were subjected to VATS for PE (32 in Group Early VATS, 30 in Group Late VATS). It emerged that the elapsed period between the onset of symptoms and surgery correlates in a statistically significant way with the post-operative stay in intensive care (z score 4.3 and p value < 0.0001) and the analysis between early VATS, late VATS and postoperative hospitalization showed a statistically significant reduction of the post-operative hospitalization in the early VATS groups (p value < 0.02).
CONCLUSIONS: VATS resulted to be safe and effective for the treatment of PE in children, and an early minimally invasive thoracoscopic intervention (early VATS) correlates with better outcomes, specifically in terms of intensive care hospitalization and overall hospitalization.
摘要：
目的：胸膜脓胸（PE）是胸膜腔中的脓性物质的集合。儿童PE的管理是一个挑战，不适当的诊断-治疗工作可能导致严重的短期和长期并发症。这项研究的目的是确定通过电视辅助胸腔镜手术（VATS）治疗小儿PE的正确时机。
方法：对2005年5月至2022年9月期间接受胸膜脓胸电视胸腔镜检查的儿科患者进行了回顾性观察研究。
结果：62例患者接受VATS治疗（32例早期VATS组，30组晚VATS)。结果表明，症状发作和手术之间的消逝时间与重症监护术后住院时间（z评分4.3，p值<0.0001）和早期VATS之间的分析具有统计学意义。晚期VATS和术后住院率显示,早期VATS组术后住院率显著降低(p值<0.02).
结论：VATS治疗儿童PE安全有效，早期微创胸腔镜介入（早期VATS）与更好的结果相关，特别是在重症监护住院和整体住院方面。
方法：对2005年5月至2022年9月期间接受胸膜脓胸电视胸腔镜检查的儿科患者进行了回顾性观察研究。
结果：62例患者接受VATS治疗（32例早期VATS组，30组晚VATS)。结果表明，症状发作和手术之间的消逝时间与重症监护术后住院时间（z评分4.3，p值<0.0001）和早期VATS之间的分析具有统计学意义。晚期VATS和术后住院率显示,早期VATS组术后住院率显著降低(p值<0.02).
结论：VATS治疗儿童PE安全有效，早期微创胸腔镜介入（早期VATS）与更好的结果相关，特别是在重症监护住院和整体住院方面。
